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ATI Pharmacology Proctored Actual Exam
Test Bank 2025 With Actual Questions and
Well Elaborated Answers with Rationale Top
Rated Version with Expert Feedback
A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the
following physiological effects of pregnancy should the nurse take into consideration? a.
increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism - CORRECT ANSWER >>>b. accelerated excretion of
fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated excretion
from increased renal blood flow. this results in increased GFR, to compensate for these changes,
dosages of medications that GFR eliminates must be increased to achieve a comparable
therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications that GFR
eliminates d- pregnancy causes changes in the liver, increased in liver metabolism
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the
following findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
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d. decreased inflammation - CORRECT ANSWER >>>d. decreased inflammation
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a
therapeutic effect of taking budesonide. this med is a glucocorticoid that works by suppressing
the immune system, also inhibits the actions of prostaglandins and leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and potassium
loss. hypokalemia is an adverse effect and cause life-threatening dysrhythmias c- actually
inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement to
reduce hot flashes to menopause. which of the following supplements should the nurse expect
the client to report taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort - CORRECT ANSWER >>>c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot flashes,
vaginal dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain. which of the
following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals - CORRECT ANSWER >>>a. administer the
medication over 4-5 minutes
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administer over 4-5 minutes to prevent the adverse effects of the medication such as
respiratory depression and cardiac arrest
a nurse is providing teaching to a group of new parents about medications. the nurse should
include that aspirin is contraindicated for children who have a viral infection due to the risk of
developing which of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor - CORRECT ANSWER >>>a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like chickenpox
due to the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive
medication. which of the following adverse effects of these meds should the nurse include in
the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders - CORRECT ANSWER >>>b. increased
susceptibility to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as the
medication classification indicates, these medications impair immunity
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a nurse is teaching about the adverse effects of morphine with a client who has acute pain.
Which of the following statements should the nurse include in the teaching?
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping - CORRECT ANSWER >>>b. increase fluid
intake
the nurse should inform the client that an adverse effect of morphine is constipation. therefore,
the nurse should encourage the client to increase oral fluids to promote motility of the bowel
a nurse is reviewing the medical record of a client. the medication administration record shows
the client is taking clopidogrel. which of the following events should the nurse expect in the
client's medical history?
a. recent myocardial infarction
b. history of hemorrhagic stroke
c. current outbreak of psoriasis
d. history of hypertension - CORRECT ANSWER >>>a. recent myocardial infarction
the nurse should expect the client's medical record to indicate a history of an atherosclerotic
event such as myocardial infarction, ischemic stroke, or peripheral vascular disease. Clopidogrel
is an anti platelet medication that inhibits the aggregation of platelets to prevent such
thrombotic events
a nurse is caring for a client who take sulfasalazine twice daily for rheumatoid arthritis. which of
the following values should the nurse review prior to the administration of the medication? a.
respirations
b. serum creatinine level
ATI Pharmacology Proctored Actual Exam
Test Bank 2025 With Actual Questions and
Well Elaborated Answers with Rationale Top
Rated Version with Expert Feedback
A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the
following physiological effects of pregnancy should the nurse take into consideration? a.
increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism - CORRECT ANSWER >>>b. accelerated excretion of
fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated excretion
from increased renal blood flow. this results in increased GFR, to compensate for these changes,
dosages of medications that GFR eliminates must be increased to achieve a comparable
therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications that GFR
eliminates d- pregnancy causes changes in the liver, increased in liver metabolism
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the
following findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
,2|Page
d. decreased inflammation - CORRECT ANSWER >>>d. decreased inflammation
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a
therapeutic effect of taking budesonide. this med is a glucocorticoid that works by suppressing
the immune system, also inhibits the actions of prostaglandins and leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and potassium
loss. hypokalemia is an adverse effect and cause life-threatening dysrhythmias c- actually
inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement to
reduce hot flashes to menopause. which of the following supplements should the nurse expect
the client to report taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort - CORRECT ANSWER >>>c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot flashes,
vaginal dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain. which of the
following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals - CORRECT ANSWER >>>a. administer the
medication over 4-5 minutes
,3|Page
administer over 4-5 minutes to prevent the adverse effects of the medication such as
respiratory depression and cardiac arrest
a nurse is providing teaching to a group of new parents about medications. the nurse should
include that aspirin is contraindicated for children who have a viral infection due to the risk of
developing which of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor - CORRECT ANSWER >>>a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like chickenpox
due to the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive
medication. which of the following adverse effects of these meds should the nurse include in
the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders - CORRECT ANSWER >>>b. increased
susceptibility to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as the
medication classification indicates, these medications impair immunity
, 4|Page
a nurse is teaching about the adverse effects of morphine with a client who has acute pain.
Which of the following statements should the nurse include in the teaching?
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping - CORRECT ANSWER >>>b. increase fluid
intake
the nurse should inform the client that an adverse effect of morphine is constipation. therefore,
the nurse should encourage the client to increase oral fluids to promote motility of the bowel
a nurse is reviewing the medical record of a client. the medication administration record shows
the client is taking clopidogrel. which of the following events should the nurse expect in the
client's medical history?
a. recent myocardial infarction
b. history of hemorrhagic stroke
c. current outbreak of psoriasis
d. history of hypertension - CORRECT ANSWER >>>a. recent myocardial infarction
the nurse should expect the client's medical record to indicate a history of an atherosclerotic
event such as myocardial infarction, ischemic stroke, or peripheral vascular disease. Clopidogrel
is an anti platelet medication that inhibits the aggregation of platelets to prevent such
thrombotic events
a nurse is caring for a client who take sulfasalazine twice daily for rheumatoid arthritis. which of
the following values should the nurse review prior to the administration of the medication? a.
respirations
b. serum creatinine level
